Individual
RAVI SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 W COAST HWY STE A, NEWPORT BEACH, CA 92663-4025
(949) 491-9991
(949) 612-9795
Mailing address
3300 W COAST HWY STE A, NEWPORT BEACH, CA 92663-4025
(949) 491-9991
(949) 612-9795
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A136941
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A136941
MEDICAL LIC
CA
Enumeration date
08/13/2009
Last updated
04/23/2019
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